Setting Up Patient Tables and Codes > Diagnosis Codes
WinOMS includes the ICD-10 diagnosis (Dx) code set, and provides new codes as they are updated annually. Annual ICD-10 code updates are installed to your database when you update to the new version.
The default ICD code version is set at the practice level.
To set the default ICD code set:
Select Tables > Practice > Practice Preferences > Insurance.
Under Miscellaneous > Default ICD Version, select ICD-10.
For more information, see Setting Up Default Insurance Information.
Use the Extended tab of the Patient Data Entry window to enter up to four diagnosis codes for a patient.
For more information, see Adding Patient Information to the Extended Tab.
The Diagnosis Method setting on the Forms/IDs/Notes tab of the Plan Data Entry window now has a third option for defining how diagnosis codes are displayed on claim forms for a particular plan. You can select 3 to include no diagnosis codes or pointers on the form.
For more information, see Adding Forms, IDs, and Notes.
The Diagnosis Code Search window has been updated to accommodate the ICD code set migration.
New column shows the ICD version of each code.
New Version list enables you to filter search by ICD code set.
New checkbox enables you to filter search by Frequently Used codes.
Tool tips display full description when the cursor hovers over a diagnosis code.
Selecting Display All for all versions displays all Dx codes from both versions.
Inactive codes are displayed in gray.
The Diagnosis Code Data Entry window has been updated to accommodate the ICD code set migration.
For adding a new diagnosis code, the Version list defaults to the version entered in practice preferences.
When adding a new ICD-10 code, use the new Lookup button to validate the new code against the ICD-10 list.
For editing, the Version list specifies the code set for the code being edited.
A new checkbox enables you to designate a code as Frequently Used.
For more information, see Diagnosis Codes.
The Diagnosis Code Selection window has been updated to manage the use of old and new ICD codes. Diagnosis codes for any visit or claim must belong to the same code set version.
This window is displayed when you select Dx Codes or Edit Dx when creating or editing treatment plans or patient charges.
Dx codes are displayed for only the selected version.
A Frequently Used filter option has been added.
The Select Dx Code input field has been expanded to accommodate the full code length.
Tool tips display full description when the cursor hovers over a code.
The Diagnosis Codes and For this Charge lists have been expanded to display the full code and longer descriptions.
Dx code lists can be sorted by Dx or Description.
When this window is opened to select the first code for a visit, the practice default ICD version is displayed.
When a different version is selected, it will become the default for this visit.
Once a Dx code has been selected, the Version list is locked to prevent mixing versions on a claim.
To change the version, drag the codes from the For this Charge list to the trash bin. This unlocks the Version list so you can select a different ICD version and use those codes for the charge.
When editing a batch, you can change the ICD code version for a claim, but only if all procedures from that claim are selected.
When some, but not all, procedures for a claim are batch edited, and the ICD version is changed, the procedures being edited are moved to a new claim with the new ICD codes.
Up to 12 ICD codes are allowed on a single claim, with up to four codes per procedure. When the number of diagnosis codes exceeds 12, a second claim is created.
For more information, see Editing a Diagnosis on a Charge.
The total number of ICD codes allowed on a single claim is 12. When the total number of diagnosis codes exceeds 12, a second claim is created.
New windows enable you to view the diagnosis codes assigned to the procedures in a patient's treatment plan.
From the Treatment Plan tab of the Patient Workspace or Point-of-Care Encounter window, click the Details button. The View Treatment Plan Details window is displayed for the selected plan.
This window lists procedures and the associated Dx codes, regardless of whether they have been performed or converted to charges. It cannot be edited. To edit Dx codes for a procedure, return to the Treatment Plan window.
For more information, see Creating a Plan for Treatment Visits.
The new Claims Modification window enables you to adjust the order of diagnosis codes on a claim (box 21 for medical and box 34a for dental) after charges have been posted, before you submit the claim. The codes are labeled A through L, with A being the primary diagnosis.
The Dx Order is also displayed on the Claim Detail window accessed by clicking Details in the Insurance Processing Queue.
Previously, the Dx Order button was only available from the Charge Entry and Charge Edit windows at the time of posting.
To access the new Dx Ordering feature:
From the Patient Workspace, select the Claims tab.
Select a claim and click Edit. The Claims Modification window is displayed.
Under Dx Rank, click and drag the codes to reorder them.
For more information, see Editing a Claim.
When the total number of diagnosis codes exceeds 12, a second claim is created.